Quality assurance specialist Jobs in McAllen, TX

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Job Description Summary

This position is responsible for ensuring the integrity and validity of the collection workflow for the PACT Team, the extended business offices and external vendors. This position performs quality assurance checks by auditing accounts, analyzing data, showing trends, and making process change / improvement recommendations. This position is responsible for on-going staff training as it relates to the function of the PACT Team and will coordinate and provide expertise to the Revenue Cycle Education Team as it relates to training materials, department specific tasks, etc.

Responsibilities And Duties

40% Completes paper and electronic quality assurance audits on accounts to ensure proper follow up workflow, including but not limited to appropriate follow-up, appropriate documentation, escalation process, exception reports, account notes, etc. Tabulates results for the monthly associate scorecards, analyzes results, shows trends and gives recommendations for process change / improvement. 25% Perform audits on external vendors to ensure appropriate and timely follow-up. Tabulates results, analyzes results, shows trends and gives recommendations for process change / improvement. 30% Provide on-going and new hire training on correct department policies, including but not limited to appropriate follow-up, QMS workflow, denial resolution, billing compliance and payer websites. Provide expertise regarding development of training materials to the Revenue Cycle Education Team. 5% Other duties as assigned.

Minimum Qualifications

High School or GED (Required) Knowledge of Fair Debt Collection Practices Act, collection practices, medical billing, basic math, Microsoft Excel, and Microsoft Word. Requires analytical skills that can convert findings to process change / improvement. Two years of self-pay collection Experience along with data summarization and analysis in a medical office or hospital.

Work Shift : Day

Scheduled Weekly Hours : 40

Department : Patient Contact Center

Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment.

Remote Work Disclaimer : Positions marked as remote are only eligible for work from Ohio.